SPORTS & INTERVENTIONAL PAIN MEDICINE, PA (NPI# 1396020384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396020384 |
| Entity Type | Organization |
| Organization Name | SPORTS & INTERVENTIONAL PAIN MEDICINE, PA |
| Practice Address |
8140 Picton Way Suite 101 New Port Richey FL 34655 |
| Practice Telephone | 7273720402 |
| Mailing Telephone | 7273720402 |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2011-10-21 |
| Authorized Official Name | DR. EATON YEN (OWNER) |
| Authorized Official Telephone | 7273720402 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
8140 PICTON WAY SUITE 101 |
| City | NEW PORT RICHEY |
| State | FL |
| Zip Code | 34655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306804679 | Louis Krudo | Acupuncturist | 8140 Picton Way, Suite 103, New Port Richey, FL 34655 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845221 | Kathryn E Wright | Social Worker | 8225 Florida State Road 54, New Port Richey, FL 34655 | 2020-09-15 |
| 1245873728 | Trinity Counseling Services | Marriage & Family Therapist | 1934 Duck Slough, Trinity, FL 34655 | 2019-10-28 |
| 1134770563 | Timothy Foster | Licensed Practical Nurse | 9332 Sr 54, Ste 202, Trinity, FL 34655 | 2019-09-26 |
| 1710542824 | Leah E. Grossman | Student in an Organized Health Care Education/Training Program | Medical Center of Trinity, 9330 State Rd 54, Trinity, FL 34655 | 2019-05-03 |
| 1508420696 | Varun Reddy | Student in an Organized Health Care Education/Training Program | 9330 Fl 54, Trinity, FL 34655 | 2019-04-24 |
| 1184183642 | Courtney Lynne Fagan | Specialist/Technologist | 8225 Fl-54, New Port Richey, FL 34655 | 2019-03-14 |
| 1164996633 | Brooke E Cox | Obstetrics & Gynecology | 8145 Cerebellum Way Ste 102, Trinity, FL 34655 | 2019-01-17 |
| 1144734591 | Optimal Performance and Physical Therapies Trinity LLC | Physical Therapist | 11157 Trinity Blvd, Trinity, FL 34655 | 2017-11-21 |
| 1629581285 | Nationwide Vision Center, LLC | Technician/Technologist | 3238 Little Rd, Trinity, FL 34655 | 2017-11-06 |
| 1053834267 | Spnn LLC | Pharmacy | 5429 Little Rd, New Port Richey, FL 34655 | 2017-07-19 |
| Find all providers in zip 34655 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302685 | Trinity Dental Designs Incorporated | Durable Medical Equipment & Medical Supplies | 8532 Old County Road 54, New Port Richey, FL 34653-6458 | 2020-06-26 |
| 1669956033 | All Best Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 7114 Congress Street, New Port Richey, FL 34653 | 2018-09-20 |
| 1447739560 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8002 King Helie Blvd Ste Pharmacy, New Port Richey, FL 34653-1435 | 2018-08-09 |
| 1851880132 | Select Medical Solutions LLC | Durable Medical Equipment & Medical Supplies | 4575 Whitton Way, Unit# 1119, New Port Richey, FL 34653 | 2018-05-02 |
| 1568974921 | Life Back, LLC. | Durable Medical Equipment & Medical Supplies | 8018 Old County Road 54, New Port Richey, FL 34653 | 2017-10-25 |
| 1679977540 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8745 Little Rd, New Port Richey, FL 34654-4947 | 2014-10-21 |
| 1750703161 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 6400 Massachusetts Ave, New Port Richey, FL 34653-2532 | 2014-01-21 |
| 1720357890 | Trinity Medical Pharmacy | Durable Medical Equipment & Medical Supplies | 9332 State Road 54 Ste 203, New Port Richey, FL 34655-1810 | 2011-12-20 |
| 1437462397 | Patriot Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 7204 Massachusetts Ave, New Port Richey, FL 34653-2934 | 2010-07-21 |
| 1720315278 | Kaizen Global Services, Inc. | Durable Medical Equipment & Medical Supplies | 11836 Little Rd, New Port Richey, FL 34654-1011 | 2009-11-04 |
| Find all providers in NEW PORT RICHEY | ||||
| City | NEW PORT RICHEY |
| Zip Code | 34655 |
Please comment or provide details below to improve the information on SPORTS & INTERVENTIONAL PAIN MEDICINE, PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.